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1 forms found in the DOM

Name: iciciemiform — POST

<form action="" method="post" name="iciciemiform">
  <table width="100%" border="0" cellspacing="0" cellpadding="0" style="padding-left:20px;">
    <tbody>
      <tr>
        <td height="38" align="left" valign="top">
          <div id="disclaimer" style="position:absolute; visibility:hidden; display:none; left:500px; top:30px;">
            <table width="100%" border="0" cellspacing="0" cellpadding="0" class="text_grey">
              <tbody>
                <tr>
                  <td align="right" valign="top" style="padding-top:25px; padding-left:25px; padding-right:19px;">
                    <a href="#" onclick="MM_showHideLayers('disclaimer','','hide')"><img src="../../../pgmerc/iciciemi/images/closebutton.gif" border="0"></a></td>
                </tr>
                <tr>
                  <td align="left" valign="top" style="padding-top:15px; padding-left:31px; padding-right:33px;"><span class="text_grey_bold">Disclaimer</span><br> At your request, you are being re-directed to a third party site. Please acknowledge
                    the disclaimer before proceeding further.<br><br> You are about to access a third party site, the accuracy or completeness of the information, materials, services or the reliability of any service, advice, opinion, statement or
                    other information displayed or distributed through it, ICICI Bank does not warrant. You shall access this site solely for purposes of payment of your bills/dues and you understand and acknowledge that availing of any services
                    offered on the site or any reliance on any opinion, advice, statement, memorandum, or information available on the site shall be at your sole risk.<br> ICICI Bank and its affiliates, subsidiaries, employees, officers, directors
                    and agents, expressly disclaim any liability for any deficiency in the services offered by ICICI Bank partners (Tech Process Solutions Ltd ) whose site you are about to access. Neither ICICI Bank nor any of its affiliates nor
                    their directors, officers and employees will be liable to or have any responsibility of any kind for any loss that you incur in the event of any deficiency in the services of ICICI Bank partners (Tech Process Solutions Ltd ) to
                    whom the site belongs, failure or disruption of the site of ICICI Bank partners (Tech Process Solutions Ltd ), or resulting from the act or omission of any other party involved in making this site or the data contained therein
                    available to you, or from any other cause relating to your access to, inability to access, or use of the site or these materials.</td>
                </tr>
              </tbody>
            </table>
          </div>
        </td>
      </tr>
      <tr>
        <td align="left" valign="top"><img src="../../../pgmerc/iciciemi/images/spacer.gif" height="9" width="1"></td>
      </tr>
      <tr>
        <td align="left" valign="top" class="text">Please enter your Loan Account Number twice and click to verify </td>
      </tr>
      <tr>
        <td align="left" valign="top" class="text"></td>
      </tr>
      <tr>
        <td align="left" valign="top">
          <table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tbody>
              <tr>
                <td width="38%" align="left" valign="top"><img src="../../../pgmerc/iciciemi/images/spacer.gif" height="15" width="1"></td>
              </tr>
              <tr>
                <td colspan="2" align="left" valign="top">&nbsp;</td>
              </tr>
              <tr>
                <td height="25" colspan="2" align="left" valign="top">
                  <table width="100%" border="0" cellspacing="0" cellpadding="0">
                    <tbody>
                      <tr>
                        <td align="left" valign="top" class="text">Enter Loan Account Number </td>
                        <td align="left" valign="top"><input type="text" name="txtCustomerID" maxlength="16" onpaste="return false;"></td>
                      </tr>
                      <tr>
                        <td colspan="2" align="left" valign="top"><img src="../../../pgmerc/iciciemi/images/spacer.gif" height="8" width="1"></td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" class="text">Re-enter Loan Account Number </td>
                        <td align="left" valign="top"><input type="text" name="txtCustomerID2" maxlength="16" onpaste="return false;"></td>
                      </tr>
                      <tr>
                        <td colspan="2" align="left" valign="top"><img src="../../../pgmerc/iciciemi/images/spacer.gif" height="8" width="1"></td>
                      </tr>
                      <tr>
                        <td align="left" valign="top" class="text">Selected Bank</td>
                        <td align="left" valign="top" class="text">null</td>
                      </tr>
                      <tr>
                        <td colspan="2" align="left" valign="top"><img src="../../../pgmerc/iciciemi/images/spacer.gif" height="8" width="1"></td>
                      </tr>
                    </tbody>
                  </table>
                </td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr>
        <td align="center" valign="top" style="padding-left:250px;"><img src="../../../pgmerc/iciciemi/images/verify.jpg" border="0" onclick="return validateForm()" value=""> <input name="txtBankID" type="hidden" value="null"></td>
      </tr>
      <tr>
        <td align="left" valign="top" class="maroon">&nbsp;</td>
      </tr>
      <tr>
        <td align="left" valign="top" class="maroon">
          <p class="text_grey">Please do NOT use this service if:</p>
          <ul>
            <li class="text_grey">You have not missed an/a EMI / PEMI payment and have an ongoing, active and regular means of paying your EMIs / PEMIs (by Post-Dated Cheques (PDCs), ECS instruction or auto-debit advice and so on) or</li>
            <li class="text_grey">You do not have over dues outstanding on your loan account.</li>
          </ul>
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content

Disclaimer
At your request, you are being re-directed to a third party site. Please
acknowledge the disclaimer before proceeding further.

You are about to access a third party site, the accuracy or completeness of the
information, materials, services or the reliability of any service, advice,
opinion, statement or other information displayed or distributed through it,
ICICI Bank does not warrant. You shall access this site solely for purposes of
payment of your bills/dues and you understand and acknowledge that availing of
any services offered on the site or any reliance on any opinion, advice,
statement, memorandum, or information available on the site shall be at your
sole risk.
ICICI Bank and its affiliates, subsidiaries, employees, officers, directors and
agents, expressly disclaim any liability for any deficiency in the services
offered by ICICI Bank partners (Tech Process Solutions Ltd ) whose site you are
about to access. Neither ICICI Bank nor any of its affiliates nor their
directors, officers and employees will be liable to or have any responsibility
of any kind for any loss that you incur in the event of any deficiency in the
services of ICICI Bank partners (Tech Process Solutions Ltd ) to whom the site
belongs, failure or disruption of the site of ICICI Bank partners (Tech Process
Solutions Ltd ), or resulting from the act or omission of any other party
involved in making this site or the data contained therein available to you, or
from any other cause relating to your access to, inability to access, or use of
the site or these materials.

Please enter your Loan Account Number twice and click to verify

 

Enter Loan Account Number Re-enter Loan Account Number Selected Bank null

 

Please do NOT use this service if:

 * You have not missed an/a EMI / PEMI payment and have an ongoing, active and
   regular means of paying your EMIs / PEMIs (by Post-Dated Cheques (PDCs), ECS
   instruction or auto-debit advice and so on) or
 * You do not have over dues outstanding on your loan account.